Individual provider Active NPI

Alyssa Decker, DC

  • Chiropractor
  • Mount Holly, NJ
National Provider Identifier
1205352283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00720100 Issued in NJ
Practice address
2670 Route 206 Ste 1
Mount Holly, NJ 08060-6723
Phone
(609) 784-8670
Fax
(609) 964-1860
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00720100 NJ Primary

Addresses

Primary practice location

2670 Route 206 Ste 1
Mount Holly, NJ 08060-6723

Mailing address

2670 Route 206 Ste 1
Mount Holly, NJ 08060-6723
Phone (609) 784-8670

Other practice location 1

17 Pine Glen Dr
Jobstown, NJ 08041-2016
Phone (609) 284-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00720100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healing Chiropractic Center Chiropractor PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205352283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 ROUTE 206 STE 1",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080606723",
            "telephone_number": "609-784-8670",
            "fax_number": "609-964-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 ROUTE 206 STE 1",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080606723",
            "telephone_number": "609-784-8670",
            "fax_number": "609-964-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Pine Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Jobstown",
            "state": "NJ",
            "postal_code": "080412016",
            "country_code": "US",
            "telephone_number": "609-284-8725",
            "fax_number": "609-964-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00720100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.